topamax was great for me for about 6 months, lots of energy, no migraines, lost 40 lbs in 3mos. was willing to deal with difficulty finding words to finally be pain free after almost a year of daily migraines. then I started having all these weird symptoms. all the "uncommon" side effects hit me hard - rapid heart beat, fainting spells, odd pains in my legs. first they thought I had heart damage from the chemo, then that my cancer returned in my bones, my gp finally figured it out. I didn't want to stop the med by cut it in half, which caused me to have suicidal hallucinations! for some people it works great, but I wouldn't try it again. it should always be started at the lowest possible dose and gradually increased.
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